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SHANNON ASHLEY PEELMAN PA-C
NPI 1366006033
Physician Assistant in Fulton, NY

Active since April 27, 2019PECOS Enrolled
510 S 4TH ST, FULTON, NY 13069(315) 598-4790(315) 593-6195 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Sep 17, 2022, Mar 23, 2020 and 1 more (4 updates tracked since 2019).

About Shannon Ashley Peelman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON ASHLEY PEELMAN PA-C (NPI 1366006033) is an individual physician assistant in Fulton, New York, licensed in New York (024053) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1366006033
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON ASHLEY PEELMANCredential: PA-C
Location Address510 S 4TH STFulton, NY 13069-2951
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6564 · Fax (315) 298-7488
Phone(315) 598-4790
Fax(315) 593-6195
Sole ProprietorNo
Enumeration DateApril 27, 2019
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1366006033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 024053
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
510 S 4TH ST, Fulton, NY 13069
Open in Google Maps ↗

Secondary Practice Locations 6

Location 161 Delano StPulaski, NY 13142-1400 · Phone (315) 298-6564 · Fax (315) 298-3867
Location 210 Carlton DrParish, NY 13131-3308 · Phone (315) 625-4388 · Fax (315) 625-4535
Location 3120 E 1st StOswego, NY 13126-2111 · Phone (315) 342-0880 · Fax (315) 593-6195
Location 47 Bridge StPhoenix, NY 13135-1906 · Phone (315) 695-4700 · Fax (315) 695-4706
Location 55856 Scenic AveMexico, NY 13114-3012 · Phone (315) 963-4133 · Fax (315) 963-4960
Location 63045 East Ave Ste G400Central Square, NY 13036-2611 · Phone (315) 675-9200 · Fax (315) 630-3168

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Ashley Peelman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA DOTTOLO NP
Nurse Practitioner (Family)
510 S 4TH ST
FULTON, NY 13069
Oswego County (315) 592-3500
ANNE FILIPSKI MD
Family Medicine
510 S 4TH ST, SUITE 600
FULTON, NY 13069
Oswego County (315) 598-4790
DR. RICHARD R THOMPSON M.D.
General Practice
510 S 4TH ST
FULTON, NY 13069
Oswego County (315) 591-9847
OSWEGO HEALTH HOME CARE LLC..
Home Health
510 S 4TH ST
FULTON, NY 13069
Oswego County (315) 598-1544
DR. DAVID A GILMORE D.O.
Family Medicine (Adult Medicine)
510 S 4TH ST
FULTON, NY 13069
Oswego County (315) 555-5555
A.L. LEE MEMORIAL HOSPITAL
General Acute Care Hospital
510 S 4TH ST
FULTON, NY 13069
Oswego County (315) 591-9442
ROBERT SCHWEITZER CRNA
Nurse Anesthetist, Certified Registered
510 S 4TH ST
FULTON, NY 13069
Oswego County (315) 591-9442
ALBERT LINDLEY LEE MEMORIAL
General Acute Care Hospital
510 S 4TH ST
FULTON, NY 13069
Oswego County (315) 591-9401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Peelman's NPI number?

The NPI number for Shannon Peelman is 1366006033. It was assigned to this individual provider in the NPPES registry on April 27, 2019.

Where is Shannon Peelman located?

Shannon Peelman practices at 510 S 4th St, Fulton, NY 13069. The listed phone number is (315) 598-4790.

What is Shannon Peelman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Peelman enrolled in Medicare?

Yes. Shannon Peelman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Peelman was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.